{
  "abstract": "Objective\n\nTo estimate the differential in access to breast reconstruction surgery in the Brazilian Unified Health System according to race/skin color nationwide and in the country's regions.Methods\n\nThis was an observational study of interrupted time series, which used monthly microdata from the Hospital Information System for the period 2010-2024. The differentials in the proportion of breast reconstruction surgeries according to race/skin color were estimated before and after the implementation of Ordinance No. 127/2023, with respective 95% confidence intervals (95%CI).Results\n\nWe identified 565,234 surgeries, of which 404,944 (71.6%) were mastectomies and 160,290 (28.4%) were breast reconstructions. The proportion of reconstructions was, on average, 12.9 percentage points (95%CI -16.8; -8.9) lower for Black women compared to White and Asian women. After the Ordinance No. 127/2023 intervention, the differential increased to 28.6 percentage points (95%CI -44.1; -13.0). The largest differentials were observed in the Northern region, with 15.4 percentage points (95%CI -20.9; -10.8), and in the Northeast, with 11.7 percentage points (95%CI -15.8; -7.5).Conclusion\n\nThere is a significant differential in access to breast reconstruction surgery according to race/skin color, and the effects are heterogeneous across the Brazilian regions.",
  "abstract_shown": true,
  "affiliations": [
    "Universidade de São Paulo, Faculdade de Economia, Administração e Contabilidade, São Paulo, SP, Brazil Universidade de São Paulo Faculdade de Economia Administração e Contabilidade São PauloSP Brazil."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 2,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Alana Ramos da Silva",
      "orcid": "0000-0003-3343-414X"
    },
    {
      "affs": [
        0
      ],
      "name": "Fernando Antonio Slaibe Postali",
      "orcid": "0000-0003-0131-3837"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/d9p87q9382sfk.bib",
  "cited_by": 0,
  "doi": "10.1590/s2237-96222026v35e20250496.en",
  "fulltext_url": "https://europepmc.org/articles/PMC13686374",
  "id": "d9p87q9382sfk",
  "issns": [
    "1679-4974",
    "2237-9622"
  ],
  "landing_url": "https://europepmc.org/article/MED/42922928",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2746|Breast Implant and Reconstruction"
    ]
  ],
  "openalex": "W7202080477",
  "pdf_url": "https://europepmc.org/articles/PMC13686374?pdf=render",
  "pmcid": "PMC13686374",
  "pmid": "42922928",
  "published": "2026-07-24",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/d9p87q9382sfk.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:21:02Z",
      "native_id": "MED:42922928",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42922928"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Breast Implant and Reconstruction",
      "subfield": "surgery"
    }
  ],
  "title": "Racial inequality in access to breast reconstruction surgery in the Brazilian Unified Health System: an interrupted time series study, Brazil, 2010-2024.",
  "title_text": "Racial inequality in access to breast reconstruction surgery in the Brazilian Unified Health System: an interrupted time series study, Brazil, 2010-2024.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:21:02Z",
  "url": "https://research.draconitic.com/paper/d9p87q9382sfk",
  "venue": "Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil",
  "versions": []
}